NPIMap

Individual provider Active NPI

Burhaan Ahmad, M.D.

  • Internal Medicine Physician
  • Sun City Center, FL
National Provider Identifier
1730137118
Registry record updated Oct 19, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME95541 Issued in FL
Practice address
3909 Galen CT
Suite #102
Sun City Center, FL 33573-6824
Phone
(813) 634-5502
Fax
(813) 633-2702
NPI assigned
May 5, 2006
Last updated
Oct 19, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X ME95541 FL Primary

Addresses

Primary practice location

3909 Galen CT
Suite #102
Sun City Center, FL 33573-6824

Mailing address

3909 Galen CT
Suite #102
Sun City Center, FL 33573-6824
Phone (813) 634-5502

Other identifiers 5

IdentifierTypeStateIssuer
274960200MedicaidFL
1786500OtherCIGNA
42029OtherFLBC/BS FLORIDA
42029OtherFLBLUE SHIELD
0412712OtherFLUNITED HEALTHCARE/EVERCARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060919000469 FL Practitioner - Internal Medicine 2961407234 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

3909 Galen CT
Suite 102
Sun City Center, FL 33573-6824
Phone (813) 634-5502

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal or shaving of skin growth1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Burhaan Ahmad, M.D., P.a. Internal Medicine CurrentSince Jun 1, 2006 Accepting new patients
Shahul Hameed Riazudeen MD PA Internal Medicine Current Accepting new patients
Javed Hafeez, M.D., P.a. Internal Medicine Current Accepting new patients

Locations

3909 Galen Ct
Ste 102
Sun City Ctr, FL 33573
Phone (813) 634-5502

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 11

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1146787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1476835200000",
    "number": "1730137118",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3909 GALEN CT",
            "address_2": "SUITE #102",
            "city": "SUN CITY CENTER",
            "state": "FL",
            "postal_code": "335736824",
            "telephone_number": "813-634-5502",
            "fax_number": "813-633-2702"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3909 GALEN CT",
            "address_2": "SUITE #102",
            "city": "SUN CITY CENTER",
            "state": "FL",
            "postal_code": "335736824",
            "telephone_number": "813-634-5502",
            "fax_number": "813-633-2702"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AHMAD",
        "first_name": "BURHAAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-05",
        "last_updated": "2016-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME95541",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "274960200",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "1786500",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS FLORIDA",
            "identifier": "42029",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "42029",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE/EVERCARE",
            "identifier": "0412712",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sun City Center, FL

Sources for this page

Verify at the official NPI Registry.